Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jaquelyn Risa Wilansky, MD

Individual provider Emergency Medicine Physician · NPI 1720519812

Dr. Jaquelyn Risa Wilansky, MD is a Hospitalist in Springdale, Arkansas. Qualified in 2017, 9 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Arizona.

Years since qualifying
9
Licensed in
AR, AZ
In the registry since
2017
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2158 Butterfield Coach Rd Ste 100
Springdale, AR 72764-9142
Phone: (479) 757-5026
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1125 N College Ave, Fayetteville, AR 72703-1908 — (479) 521-8260

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 60377 (AZ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence E-12048 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence E-12048 (AR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720519812
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 21, 2017
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021
Mailing address5555 W Thunderbird Rd, Glendale, AZ 85306-4622

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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